National Provider Identifier [NPI]: |
1821284290 |
Last Name Of The Provider |
JUNEAU |
First Name Of The Provider |
MICHELLE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2045 PEACHTREE RD NE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303091414 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6929 |
Number Of Medicare Beneficiaries |
1081 |
Total Submitted Charge Amount |
545263.43 |
Total Medicare Allowed Amount |
431743.85 |
Total Medicare Payment Amount |
312471.62 |
Total Medicare Standardized Payment Amount |
313533.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
205 |
Number Of Medicare Beneficiaries With Drug Services |
73 |
Total Drug Submitted ChargeAmount |
29422.98 |
Total Drug Medicare AllowedAmount |
29063.4 |
Total Drug Medicare PaymentAmount |
22543.19 |
Total Drug Medicare Standardized Payment Amount |
22543.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
6724 |
Number Of Medicare Beneficiaries With Medical Services |
1081 |
Total Medical Submitted Charge Amount |
515840.45 |
Total Medical Medicare Allowed Amount |
402680.45 |
Total Medical Medicare Payment Amount |
289928.43 |
Total Medical Medicare Standardized Payment Amount |
290990.38 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
83 |
Number Of Beneficiaries Age 65 to 74 |
618 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
440 |
Number Of Non Hispanic White Beneficiaries |
940 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1023 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9128 |